Paediatric Neuro Assessment: Glasgow Coma Scale, Interventions

This report provides a comprehensive analysis of a paediatric neurological observation using the Glasgow Coma Scale. It discusses the importance of the paediatric assessment triangle for quickly determining the acuity of a child's condition, emphasizing the assessment of appearance, breathing, and circulation. The report also explores intranasal delivery of medication, highlighting its contraindications and potential complications. Furthermore, it outlines crucial nursing interventions aimed at reducing complications, such as managing infections in lacerations and maintaining wound care. The document identifies priority problems during admission to the Paediatrics Ward, focusing on addressing lacerations and preventing infections. Lastly, it addresses nursing interventions for alleviating stress experienced by parents after a child's serious illness, including progressive muscular relaxation, therapy sessions, and meditation techniques, promoting emotional wellness and coping mechanisms. The report references relevant books and journals to support its analysis and recommendations.

Paediatric Neurological
Observation Record Glasgow
Coma Scale

Question 1
Paediatric assessment triangle will enable quick determining acuity of child case, where
determination of appearance, breathing and circulation to skin, and essential assessments can be
accurately analysed. As per the views of Blanquero and et.al. (2020), initial assessment of child
overall condition is of crucial importance where it enables doctors and nurses treating patient to
get idea of patient primary condition. It is also essential to assess patient life support, immediate
medical assistance and to further improvise physical examination. Secondary assessment further
provides analysis of full secondary survey with detailed examination, whereas per given case
study Hermione has been facing weakness in limbs, but is active to respond with proper
consciousness. Paediatric initial assessment by doctors and specialized nurses has been found as
one of the key assessment criteria, which enables assessment of patient physical examination to
be done properly. Ongoing assessment has also further assessed medical history examination of
child, as per case study overall assessment physically has been found to be crucial.
Question 2
Intrasanal delivery is method of delivery of medication to nasal mucosa, employed by
illicit drug users and involves sniffing which is concentrated power form of drug in form of
vaccination given through nostril. As per Ho and et.al, 2021), there are two essential reasons
which contraindicate the usage of this route in patients which can be analysed by critically
assessing focus on their disadvantages. It experiences mucociliary clearance in vestibular region
which restricts foreign particles and potential local drug enzymatic degradation. Another reason
is that there is also sensation of burning, increased mucus and dryness in nose along with
sneezing found in patients. Intranasal delivery also creates nausea, which creates dizziness in
patients and should not be given except rare critical situation and under specialized medical
supervision. Another reason is that intranasal delivery also leads to congestion, which further
leads to inflammation in nasal passengers and further decreases consciousness in patient
Question 3
Nursing interventions to reduce complications in patient
As per case study details, Hermione has been facing physical and intranasal
complications and need immediate medical care where patient has to further be treated with
specific care. The patient has been 5 cm laceration in her left elbow, where complications raised
is infection due to deep wound in skin. First nursing interventions is cleansing and managing

infection which will improvise infection from spreading in elbow. Second nursing intervention is
maintaining appropriate moisture and medical ointment in wound by nurse, which will also
enable infection to be controlled. Third intervention is controlling odour, where nursing
intervention will be focused on keeping check at odour levels from infection.
QUESTION 4
Identification of priority problem during her admission to Paediatrics Ward
Identification of specific priority problem during admission to Paediatrics Ward plays
crucial role, for keeping check on further improvement and new medical treatments to be
prescribed by doctors. Miss Hermoine Granger during her admission to Paediatrics Ward had to
be given priority towards her 5 cm laceration in her 5 cm laceration which is deep wounded in
her elbow. Laceration in elbow is priority problem to be treated, where further treatment has to
be conducted for nursing interventions to enhance her further recovery within physical care. The
paediatric ward has to further treat on infection and functionally bring on new strategy to further
improvise her proper care. Priority problem assessment will further enable treatment to be
delivered advanced up, where medical and healthcare scenarios need to be kept aligned for
keeping check on improvised healthcare (Artiaco and et.al, 2021).
QUESTION 5
Nursing interventions for alleviating stress experienced by parents to cope with stress after
serious illness
The stress reactions is common after serious illness and injury, where family is affected
and needs care, supervision by medical experts from dealing and alleviating stress experienced.
First nursing intervention which will enable to alleviate stress is progressive muscular relaxation,
exercising which will further reduce stress reactions while ongoing injury treatment. Undergoing
therapy sessions is another nursing intervention, which will precisely enable to alleviate stress
among family members. Therapy communicative sessions will ideally create calmness among
parents to cope up with their child injury for which treatment is undergone. Meditation, deep
breathing are some other techniques which will enable to cope up with specific stress after
serious illness of patient. This intervention also will further improvise parent’s emotional
wellness to be stable and cope up with stress after serious illness faced by their child (Decker &
Norse, 2020).

REFRENCES
Books and Journals
Artiaco, S. and et.al. (2021). Combined simple elbow dislocation and forearm joint injuries. A
systematic review of the literature with injury patterns and current treatment
rationale. European Journal of Orthopaedic Surgery & Traumatology, 1-6.
Blanquero, J. and et.al. (2020). Feedback-guided exercises performed on a tablet touchscreen
improve return to work, function, strength and healthcare usage more than an
exercise program prescribed on paper for people with wrist, hand or finger injuries: a
randomised trial. Journal of Physiotherapy, 66(4), 236-242.
Ho, E. S., and et.al, (2021)Developing a decision aid for youth with brachial plexus birth injuries
facing treatment decisions for an elbow flexion contracture. PM&R.
Decker, N., & Norse, A. (2020). Anterior Elbow Dislocation. StatPearls [Internet].